DR. GREGORY EDMUND JEANSONNE (NPI# 1952344723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952344723 |
| Entity Type | Individual |
| Full Name | DR. GREGORY EDMUND JEANSONNE |
| Credential | M.D. |
| Practice Address |
2202 John B Dennis Hwy Suite 100 Kingsport TN 37660 |
| Practice Telephone | 4232453161 |
| Practice Fax Number | 4238578129 |
| Mailing Telephone | 4232453161 |
| Mailing Fax Number | 4238578129 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2019-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 036150676 | IL | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | MD0040154 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3817403 | 05 | |
| VA | 1952344723 | 05 | |
| LA | LICENSE | MD025630 | 01 |
| TN | LICENSE | MD040154 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 305 W Jackson St Ste 302, Carbondale, IL 629011474 | 6184573006 | 6184573007 |
| Street Address |
2202 JOHN B DENNIS HWY SUITE 100 |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740278225 | Bruce Milton Miller | Orthopaedic Surgery | 2202 John B Dennis Hwy, Suite 100, Kingsport, TN 37660 | 2005-10-10 |
| 1255376190 | Jill F Henritze | Physician Assistant | 2202 John B Dennis Hwy, Suite 100, Kingsport, TN 37660 | 2006-06-17 |
| 1386687184 | Patrick Jon Riggins | Orthopaedic Surgery | 2202 John B Dennis Hwy, Suite 100, Kingsport, TN 37660 | 2006-06-13 |
| 1396787354 | Mark William Griffith | Orthopaedic Surgery | 2202 John B Dennis Hwy, Suite 100, Kingsport, TN 37660 | 2006-06-12 |
| 1538101704 | Howard Mize Jr. | Orthopaedic Surgery | 2202 John B Dennis Hwy, Suite 100, Kingsport, TN 37660 | 2006-06-12 |
| 1124060140 | Paul Diers | Physician Assistant | 2202 John B Dennis Hwy, Suite 100, Kingsport, TN 37660 | 2006-06-12 |
| 1770525834 | Robert Tudor Strang Jr. | Orthopaedic Surgery | 2202 John B Dennis Hwy, Suite 100, Kingsport, TN 37660 | 2006-06-12 |
| 1598703043 | Appalachian Orthopaedic Associates, PC | Orthopaedic Surgery | 2202 John B Dennis Hwy, Suite 100, Kingsport, TN 37660 | 2006-06-04 |
| 1386609410 | John R. Henritze | Physician Assistant | 2202 John B Dennis Hwy, Suite 100, Kingsport, TN 37660 | 2006-04-20 |
| 1477521417 | Galen R. Smith | Orthopaedic Surgery | 2202 John B Dennis Hwy, Suite 100, Kingsport, TN 37660-3810 | 2006-03-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
| 1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
| 1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
| 1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
| 1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
| 1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
| 1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
| 1821525361 | Ashley Brook Weems | Nurse Practitioner | Six Sheridan Square Suite 100, Kingsport, TN 37660 | 2017-05-15 |
| 1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
| 1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
| Find all providers in zip 37660 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659665644 | Lindsay F Remy | Orthopaedic Surgery | 105 W Stone Dr Ste 4b, Kingsport, TN 37660 | 2011-06-07 |
| 1649409251 | Jared Cordon | Orthopaedic Surgery | 430 W Ravine Rd, Kingsport, TN 37660-3868 | 2009-07-06 |
| 1942243746 | Jeffery Jay France | Orthopaedic Surgery | 875 Larry Neil Way, Kingsport, TN 37660-6368 | 2006-06-13 |
| 1740278225 | Bruce Milton Miller | Orthopaedic Surgery | 2202 John B Dennis Hwy, Suite 100, Kingsport, TN 37660 | 2005-10-10 |
| 1134114333 | Jeffrey Alan Marchessault | Orthopaedic Surgery | 2202 N John B Dennis Hwy, Ste 100, Kingsport, TN 37660-5904 | 2005-09-14 |
| 1669940078 | Appalachian Orthopaedic Associates, PC | Orthopaedic Surgery | 4221 Fort Henry Dr, Suite 1, Kingsport, TN 37663-2227 | 2018-11-05 |
| 1912437062 | Associated Orthopaedics of Kingsport PC | Orthopaedic Surgery | 430 W Ravine Rd, Kingsport, TN 37660-3868 | 2017-06-12 |
| 1366981805 | Appalachian Orthopaedic Associates PC | Orthopaedic Surgery | 444 Clinchfield St, Suite 303, Kingsport, TN 37660-3858 | 2017-02-16 |
| 1053683227 | Associated Orthopaedics of Kingsport PC | Orthopaedic Surgery | 2202 N John B Dennis Hwy, Suite 100, Kingsport, TN 37660-5904 | 2012-02-03 |
| 1104125210 | Watauga Orthopaedics, Plc | Orthopaedic Surgery | 875 Larry Neil Way, Kingsport, TN 37601 | 2011-03-16 |
| Find all providers in KINGSPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.